January 23, 2018
|Contact:||Judith Watters, Consumer Outreach Specialist|
Mainers whose Anthem Marketplace plans were discontinued at the end of 2017 can still purchase a new plan or switch plans for 2018, even though the annual Open Enrollment period ended on December 15, 2017.
“Individuals who lost their coverage because Anthem discontinued their Marketplace plan qualify for a special enrollment period until March 1,” Insurance Superintendent Eric Cioppa stated.
For the 2018 plan year in Maine, Anthem chose to discontinue all plans it had sold through the federal healthcare Marketplace. Individuals and families affected by Anthem’s decision should have received a letter from the Marketplace in November or December, informing them that they had been auto-enrolled in a new plan with either Harvard Pilgrim or Community Health Options, the two insurance companies offering plans through the Marketplace.
Those affected still have time to purchase or switch plans. Due to the way Anthem Marketplace members lost their coverage, their new coverage will begin on the first day of the month following enrollment; for example, those who enroll and pay before the end of January will have their new coverage in place on February 1. (This timeline does not apply to all types of events that qualify for a special enrollment.)
Individuals and families should also understand that they may qualify for a special enrollment period for a number of other reasons, at any time throughout the year, including but not limited to:
• losing employer provided health coverage
• losing eligibility for a student health plan
• moving out of a plan’s service area
• getting married or divorced.
Those qualifying for a special enrollment period have 60 days following the qualifying event to complete enrollment in a plan.
For more information about special enrollment periods or to complete a Marketplace application, Mainers should visit healthcare.gov or call the Marketplace call center at 800-318-2596 (TTY: 855-889-4325).
People in Maine can call the Bureau of Insurance at 1-800-300-5000 with questions or concerns about their insurance options and the networks offered by health insurance plans sold in Maine. Information is also available on the Bureau’s website (maine.gov/insurance).
The Bureau of Insurance is part of the Department of Professional and Financial Regulation, which encourages sound business practices through oversight of insurers, financial institutions, creditors, investment providers, and numerous occupations.
Last Updated: January 24, 2018 3:53 PM